PRE OP, POST OP REVIEW-
1. 1.Five minutes after receiving a preoperative sedative medication by IV injection, a patient asks to get up to
go to the bathroom to urinate. Which of the following is the most appropriate action for the nurse to take?
A. Offer the patient to use the urinal/bedpan after explaining the need to maintain safety.
B. Assist the patient to the bathroom and stay next to the door to assist patient back to bed when done.
C. Allow the patient to go to the bathroom since the onset of the medication will be more than 5 minutes.
D. Ask the patient to hold the urine for a short period since a urinary catheter will be placed in the operating
room.: A- The prime issue after administration of either sedative or opioid analgesic medications is safety. Because the
medications affect the central nervous system, the patient is at risk for falls and should not be allowed out of bed, even
with assistance
2. 2.Which of the following is the primary reason for accurately recording the patient's current medications
during a preoperative assessment?
A. Some medications may alter the patient's perceptions about surgery.
B. Many anesthetics alter renal and hepatic function, causing toxicity of other drugs.
C. Some medications may interact with anesthetics, altering the potency and effect of the drugs.
D. Routine medications are withheld the day of surgery, requiring dosage and schedule adjustments after
surgery.: C-Drug interactions may occur between prescribed medications and anesthetic agents used during surgery. For
this reason, it is important to take a careful medication history and check that they have been communicated to the
anesthesia care provider.
3. 3.As the nurse is preparing a patient for surgery, the patient refuses to remove a wedding ring. Which of the
following is the most appropriate action by the nurse?
A. Insist the patient remove the ring for safety purposes.
B. Explain that the hospital will not be responsible for the ring.
C. Tape the ring securely to the finger and document this on the preoperative checklist.
D. Note the presence of the ring in the nurse's notes of the chart and on the preoperative checklist.: C-It is
customary policy to tape a patient's wedding band to the finger and make a notation on the preoperative checklist that the
ring is taped in place.
4. 4.While performing preoperative teaching, the patient asks when she needs to stop drinking water before the
, PRE OP, POST OP REVIEW-
surgery. Based on the most recent practice
, PRE OP, POST OP REVIEW-
guidelines established by the American Society of Anesthesiologists, the nurse tells the patient that
A. She must be NPO after breakfast.
B. She needs to be NPO after midnight.
C. She can drink clear liquids up to 2 hours before surgery.
D. She can drink clear liquids up until she is moved to the OR.
Practice guidelines for preoperative fasting state the minimum fasting period for clear liquids is 2 hours.
Evidence-based practice no longer supports the long-standing practice of requiring patients to be NPO after
midnight.: C-Prac- tice guidelines for preoperative fasting state the minimum fasting period for clear liquids is 2 hours.
Evidence-based practice no longer supports the long-standing practice of requiring patients to be NPO after midnight.
5. 5.The nurse is admitting a patient to the same-day surgery unit. The patient tells the nurse that he was so
nervous he had to take kava last evening to help him sleep. Which of the following nursing actions would be most
appropriate?
A. Tell the patient that using kava to help sleep is often helpful.
B. Inform the anesthesiologist of the patient's recent use of kava.
C. Tell the patient that the kava should continue to help him relax before surgery.
D. Inform the patient about the dangers of taking herbal medicines without consulting his health care
provider.: B-Kava may prolong the effects of certain anesthetics. Thus the anesthesiologist needs to be informed of
recent ingestion of this herbal supplement.
6. 6.Which of the following preoperative patients likely faces the greatest risk of bleeding as a result of their
medication?
A. A woman who takes metoprolol (Lopressor) for the treatment of hyperten- sion
B.A man whose type 1 diabetes is controlled with insulin injections four times daily
C.A man who is taking clopidogrel (Plavix) after the placement of a coronary artery stent
D. A man who recently started taking finasteride (Proscar) for the treatment of benign prostatic hyperplasia: C-
Any drug that inhibits platelet aggregation, such as clopidogrel (Plavix), represents a bleeding risk. Insulin, metoprolol
(Lopressor), and finasteride (Proscar) are less likely to contribute to a risk for bleeding.
7. 7.A 70-year-old woman has been admitted prior to a bilateral mastectomy and breast reconstruction. Which
of the following elements should the nurse include in the patient's preoperative teaching (select all that apply)?
1. 1.Five minutes after receiving a preoperative sedative medication by IV injection, a patient asks to get up to
go to the bathroom to urinate. Which of the following is the most appropriate action for the nurse to take?
A. Offer the patient to use the urinal/bedpan after explaining the need to maintain safety.
B. Assist the patient to the bathroom and stay next to the door to assist patient back to bed when done.
C. Allow the patient to go to the bathroom since the onset of the medication will be more than 5 minutes.
D. Ask the patient to hold the urine for a short period since a urinary catheter will be placed in the operating
room.: A- The prime issue after administration of either sedative or opioid analgesic medications is safety. Because the
medications affect the central nervous system, the patient is at risk for falls and should not be allowed out of bed, even
with assistance
2. 2.Which of the following is the primary reason for accurately recording the patient's current medications
during a preoperative assessment?
A. Some medications may alter the patient's perceptions about surgery.
B. Many anesthetics alter renal and hepatic function, causing toxicity of other drugs.
C. Some medications may interact with anesthetics, altering the potency and effect of the drugs.
D. Routine medications are withheld the day of surgery, requiring dosage and schedule adjustments after
surgery.: C-Drug interactions may occur between prescribed medications and anesthetic agents used during surgery. For
this reason, it is important to take a careful medication history and check that they have been communicated to the
anesthesia care provider.
3. 3.As the nurse is preparing a patient for surgery, the patient refuses to remove a wedding ring. Which of the
following is the most appropriate action by the nurse?
A. Insist the patient remove the ring for safety purposes.
B. Explain that the hospital will not be responsible for the ring.
C. Tape the ring securely to the finger and document this on the preoperative checklist.
D. Note the presence of the ring in the nurse's notes of the chart and on the preoperative checklist.: C-It is
customary policy to tape a patient's wedding band to the finger and make a notation on the preoperative checklist that the
ring is taped in place.
4. 4.While performing preoperative teaching, the patient asks when she needs to stop drinking water before the
, PRE OP, POST OP REVIEW-
surgery. Based on the most recent practice
, PRE OP, POST OP REVIEW-
guidelines established by the American Society of Anesthesiologists, the nurse tells the patient that
A. She must be NPO after breakfast.
B. She needs to be NPO after midnight.
C. She can drink clear liquids up to 2 hours before surgery.
D. She can drink clear liquids up until she is moved to the OR.
Practice guidelines for preoperative fasting state the minimum fasting period for clear liquids is 2 hours.
Evidence-based practice no longer supports the long-standing practice of requiring patients to be NPO after
midnight.: C-Prac- tice guidelines for preoperative fasting state the minimum fasting period for clear liquids is 2 hours.
Evidence-based practice no longer supports the long-standing practice of requiring patients to be NPO after midnight.
5. 5.The nurse is admitting a patient to the same-day surgery unit. The patient tells the nurse that he was so
nervous he had to take kava last evening to help him sleep. Which of the following nursing actions would be most
appropriate?
A. Tell the patient that using kava to help sleep is often helpful.
B. Inform the anesthesiologist of the patient's recent use of kava.
C. Tell the patient that the kava should continue to help him relax before surgery.
D. Inform the patient about the dangers of taking herbal medicines without consulting his health care
provider.: B-Kava may prolong the effects of certain anesthetics. Thus the anesthesiologist needs to be informed of
recent ingestion of this herbal supplement.
6. 6.Which of the following preoperative patients likely faces the greatest risk of bleeding as a result of their
medication?
A. A woman who takes metoprolol (Lopressor) for the treatment of hyperten- sion
B.A man whose type 1 diabetes is controlled with insulin injections four times daily
C.A man who is taking clopidogrel (Plavix) after the placement of a coronary artery stent
D. A man who recently started taking finasteride (Proscar) for the treatment of benign prostatic hyperplasia: C-
Any drug that inhibits platelet aggregation, such as clopidogrel (Plavix), represents a bleeding risk. Insulin, metoprolol
(Lopressor), and finasteride (Proscar) are less likely to contribute to a risk for bleeding.
7. 7.A 70-year-old woman has been admitted prior to a bilateral mastectomy and breast reconstruction. Which
of the following elements should the nurse include in the patient's preoperative teaching (select all that apply)?
